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Promotor of Grass Roots Motorsport

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TWMC Membership Application

Applicant Details
New Membership or Renewal?*
- New Membership
- Renewal
Name*
First Last
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone*
Email*
Car(s) Owned
Type of membership*
- Single membership - £17.00
- Family membership - £20.00
Total
£ 0.00
Names of family members requiring membership cards
Family membership only applies to applicants living at the same address.
Interests
- Sprints
- The Wells Run
- Classic Cars
- All Circuit Sprint Championship
- Autotests
- Marshal/Official
- Social Events
Privacy*
- Data Protection
  I agree to be 'opted in' to receive TWMC communications by email (or post). I understand that this means the club will send me relevant information but will not share my email address with other organisations. *

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